| NPI | 1518301266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR A006241) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R68488) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2019-09-17 |